IDEAL Position of Endotracheal Tubes, UACs and UVCs on X-rays!!
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Review where endotracheal tubes, umbilical venous catheters and umbilical arterial catheters should end up on neonatal X-rays. Where are they when they're too deep or just in the WRONG place!? Learn the basic essential anatomy you need to know!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
Congedi S, Savio F, Auciello M, Salvadori S, Nardo D, Bonadies L. Sonographic Evaluation of the Endotracheal Tube Position in the Neonatal Population: A Comprehensive Review and Meta-Analysis. Front Pediatr. 2022 Jun 2;10:886450. doi: 10.3389/fped.2022.886450. PMID: 35722478; PMCID: PMC9201277.
Rubortone SA, Costa S, Perri A, D'Andrea V, Vento G, Barone G. Real-time ultrasound for tip location of umbilical venous catheter in neonates: a pre/post intervention study. Ital J Pediatr. 2021 Mar 18;47(1):68. doi: 10.1186/s13052-021-01014-7. PMID: 33736669; PMCID: PMC7977571.
Tang CHM, Seah JCY, Ahmad HK, Milne MR, Wardman JB, Buchlak QD, Esmaili N, Lambert JF, Jones CM. Analysis of Line and Tube Detection Performance of a Chest X-ray Deep Learning Model to Evaluate Hidden Stratification. Diagnostics (Basel). 2023 Jul 9;13(14):2317. doi: 10.3390/diagnostics13142317. PMID: 37510062; PMCID: PMC10378683.
Peterson, J., Johnson, N., Deakins, K. et al. Accuracy of the 7-8-9 Rule for endotracheal tube placement in the neonate. J Perinatol 26, 333–336 (2006). https://doi.org/10.1038/sj.jp.7211503
Paudel, Krishna Prasad et al. “Accuracy of 7-8-9 Rule for Endotracheal Tube Placement in Nepalese Neonates.” Journal of Nepal Paediatric Society 31 (2011): 175-179.
NRP 8th edition
Liu, Hsien-Kuan, Yung-Ning Yang, Shu-Leei Tey, Pei-Ling Wu, San-Nan Yang, and Chien-Yi Wu. 2021. "Weight Is More Accurate than Gestational Age When Estimating the Optimal Endotracheal Tube Depth in Neonates" Children 8, no. 5: 324. https://doi.org/10.3390/children8050324
West J Emerg Med. 2015 Jul; 16(4): 575–576.
Published online 2015 Jun 17. doi: 10.5811/westjem.2015.4.25821
https://pediatricimaging.org/diseases...
https://starship.org.nz/health-profes...
Ahmed, Aadil. (2015). Where's the line/tube?. South African Journal of Radiology. 19. 10.4102/sajr.v19i2.888.
https://radiologyassistant.nl/pediatr...
Al-Dajani N, Osiovich H, Smyth J, Byrne A, Jamieson D, Kaczala G. Umbilical Venous Catheter Position: The Value of Acquiring a Lateral in Addition to a Frontal Chest Radiograph. Cureus. 2023 Oct 7;15(10):e46642. doi: 10.7759/cureus.46642. PMID: 37808595; PMCID: PMC10560078.
https://ashfordstpeters.net/Guideline...
https://pediatricimaging.org/diseases...
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**TIMESTAMPS**
00:35 The future of using AI
1:00 Ideal position of ETT In neonates
02:51 ETT calculation depth
03:40 Continued ETT position
09:36 Ideal position of UVC
16:24 Ideal position of UAC
19:15 Quiz questions
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*Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice.
